Individual
DR. GARY VINCENT WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9002 N MERIDIAN STREET, SUITE 206, INDIANAPOLIS, IN 46260-5381
(317) 574-1138
(317) 574-1302
Mailing address
9002 N MERIDIAN STREET, SUITE 206, INDPLS, IN 46260
(317) 574-1138
(317) 574-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7909
IN
Other
Enumeration date
11/16/2006
Last updated
12/14/2010
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